What are poor prognostic factors in necrotizing fasciitis?

Updated: Sep 02, 2020
  • Author: Steven A Schulz, MD; Chief Editor: Michael Stuart Bronze, MD  more...
  • Print
Answer

In another study, preexisting chronic liver dysfunction, chronic renal failure, thrombocytopenia, hypoalbuminemia, and postoperative dependence on mechanical ventilation represented poor prognostic factors in monomicrobial necrotizing fasciitis. In addition, patients with gram-negative monobacterial necrotizing fasciitis had more fulminant sepsis. [52]

Similarly, a retrospective study by Adachi et al reported that in patients with necrotizing fasciitis, renal dysfunction predicts fatal outcomes. Estimated glomerular filtration rate was a prognostic factor, the cutoff value being 20.6 mL/min. [53]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!